NPIMap

Organization Active NPI

Allegra Arthritis Associates PC

  • Rheumatology Physician
  • Red Bank, NJ
National Provider Identifier
1205994902
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MA063282 Issued in NJ
Legal business name
ALLEGRA ARTHRITIS ASSOCIATES PC
Practice address
282 Broad St
Red Bank, NJ 07701-2003
Phone
(732) 842-3600
Fax
(732) 842-3665
NPI assigned
Dec 5, 2006
Last updated
Jan 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edward C Allegra, MDNPI 1588665913
Title
Owner
Phone
(732) 842-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X MA063282 NJ Primary

Addresses

Primary practice location

282 Broad St
Red Bank, NJ 07701-2003

Mailing address

282 Broad St
Red Bank, NJ 07701-2003
Phone (732) 842-3600

Other identifiers 4

IdentifierTypeStateIssuer
2432126000OtherNJAMERIHEALTH GROUP NUMBER
1072050OtherNJAETNA GROUP PROVIDER #
P475718OtherNJOXFORD GROUP NUMBER
2K9283OtherNJHEALTH NET GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050823000348 NJ Part B Supplier - Clinic/Group Practice 6204866098 Receives reassigned benefits from 8 practitioners
Practice locations: Hazlet, NJ; Jersey City, NJ; Keyport, NJ; Red Bank, NJ

National Provider Directory

National Provider Directory

Locations

115 Clark St
Hazlet, NJ 07730
Phone (732) 739-1400

282 Broad St
Red Bank, NJ 07701
Phone (732) 842-3600

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1205994902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012003",
            "telephone_number": "732-842-3600",
            "fax_number": "732-842-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012003",
            "telephone_number": "732-842-3600",
            "fax_number": "732-842-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGRA ARTHRITIS ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "ALLEGRA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-842-3600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "MA063282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP NUMBER",
            "identifier": "2432126000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP PROVIDER #",
            "identifier": "1072050",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD GROUP NUMBER",
            "identifier": "P475718",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET GROUP #",
            "identifier": "2K9283",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.